Individual provider Active NPI

Shree Antionette Berry

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1346047651
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-142563 Issued in AL
Practice address
7238 Garden Wood CT
Tuscaloosa, AL 35405-6595
Phone
(567) 207-1872
NPI assigned
Feb 26, 2025
Last updated
Mar 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-142563 AL Primary

Addresses

Primary practice location

7238 Garden Wood CT
Tuscaloosa, AL 35405-6595

Mailing address

7238 Garden Wood CT
Tuscaloosa, AL 35405-6595
Phone (567) 207-1872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104002143 AL Practitioner - Nurse Practitioner 8224528740

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

600 Sun Temple Dr
Madison, AL 35758-8643

7238 Garden Wood CT
Tuscaloosa, AL 35405-6595

PO Box
Suite 8209
Vienna, VA 22183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-142563ALMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1346047651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7238 GARDEN WOOD CT",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354056595",
            "telephone_number": "567-207-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7238 GARDEN WOOD CT",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354056595",
            "telephone_number": "567-207-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SHREE",
        "middle_name": "ANTIONETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-142563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.